A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients
Identifieur interne : 003268 ( PascalFrancis/Corpus ); précédent : 003267; suivant : 003269A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients
Auteurs : X. Pivot ; P. Koralewski ; J. L. Hidalgo ; A. Chan ; A. Goncalves ; G. Schwartsmann ; S. Assadourian ; J. P. LotzSource :
- Annals of oncology [ 0923-7534 ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m2 (then, in the absence of severe toxicity, at 25 mg/m2 from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.
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Format Inist (serveur)
NO : | PASCAL 08-0479465 INIST |
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ET : | A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients |
AU : | PIVOT (X.); KORALEWSKI (P.); HIDALGO (J. L.); CHAN (A.); GONCALVES (A.); SCHWARTSMANN (G.); ASSADOURIAN (S.); LOTZ (J. P.) |
AF : | Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645/Besançon/France (1 aut.); Rydygier Memorial Hospital, os. Zlotej Jesieni 1/31-826 Krakow/Pologne (2 aut.); Clinical Oncology Institution and Research/Mendoza/Argentine (3 aut.); Department of Medical Oncology, Mount Hospital/Perth/Australie (4 aut.); Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille/France (5 aut.); Department of Medical Oncology, Federal Univ/Porto Alegre/Brésil (6 aut.); Department of Oncology development, Sanofi-Aventis/Antony/France (7 aut.); Department of Medical Oncology, Hopital Tenon/Paris/France (8 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2008; Vol. 19; No. 9; Pp. 1547-1552; Bibl. 28 ref. |
LA : | Anglais |
EA : | Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m2 (then, in the absence of severe toxicity, at 25 mg/m2 from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent. |
CC : | 002B02R; 002B20E02 |
FD : | Etude multicentrique; Homme; Essai clinique phase II; Traitement; Perfusion; Dérivé du taxane; Résistance; Stade avancé; Métastase; Cancer du sein; Chimiothérapie |
FG : | Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein |
ED : | Multicenter study; Human; Phase II trial; Treatment; Perfusion; Taxane derivatives; Resistance; Advanced stage; Metastasis; Breast cancer; Chemotherapy |
EG : | Malignant tumor; Cancer; Mammary gland diseases; Breast disease |
SD : | Estudio multicéntrico; Hombre; Ensayo clínico fase II; Tratamiento; Perfusión; Taxane derivado; Resistencia; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia |
LO : | INIST-22429.354000185788650050 |
ID : | 08-0479465 |
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Pascal:08-0479465Le document en format XML
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<front><div type="abstract" xml:lang="en">Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m<sup>2</sup>
(then, in the absence of severe toxicity, at 25 mg/m<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</div>
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<sZ>4 aut.</sZ>
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<fA14 i1="05"><s1>Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille</s1>
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<sZ>5 aut.</sZ>
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<fA14 i1="07"><s1>Department of Oncology development, Sanofi-Aventis</s1>
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<fA14 i1="08"><s1>Department of Medical Oncology, Hopital Tenon</s1>
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(then, in the absence of severe toxicity, at 25 mg/m<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</s0>
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<s5>08</s5>
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<fC03 i1="08" i2="X" l="SPA"><s0>Estadio avanzado</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Métastase</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Metastasis</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Metástasis</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Cancer du sein</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Breast cancer</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Cáncer del pecho</s0>
<s2>NM</s2>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Chimiothérapie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Chemotherapy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Quimioterapia</s0>
<s5>11</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie de la glande mammaire</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie du sein</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Breast disease</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Seno patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fN21><s1>308</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 08-0479465 INIST</NO>
<ET>A multicenter phase II study of XRP6258 administered as a 1-h i.v. infusion every 3 weeks in taxane-resistant metastatic breast cancer patients</ET>
<AU>PIVOT (X.); KORALEWSKI (P.); HIDALGO (J. L.); CHAN (A.); GONCALVES (A.); SCHWARTSMANN (G.); ASSADOURIAN (S.); LOTZ (J. P.)</AU>
<AF>Department of Medical Oncology, University Hospital Jean Minjoz, Besançon; Institut National de la Santé et de la Recherche Médicale, Unit 645/Besançon/France (1 aut.); Rydygier Memorial Hospital, os. Zlotej Jesieni 1/31-826 Krakow/Pologne (2 aut.); Clinical Oncology Institution and Research/Mendoza/Argentine (3 aut.); Department of Medical Oncology, Mount Hospital/Perth/Australie (4 aut.); Department of Medical Oncology, Institut Paoli Calmettes, UMR599 Inserm, Université de la Méditerranée Marseille/France (5 aut.); Department of Medical Oncology, Federal Univ/Porto Alegre/Brésil (6 aut.); Department of Oncology development, Sanofi-Aventis/Antony/France (7 aut.); Department of Medical Oncology, Hopital Tenon/Paris/France (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2008; Vol. 19; No. 9; Pp. 1547-1552; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>Background: XRP6258 is a novel taxoid with a low affinity for P-glycoprotein. This multicenter phase II study assessed the activity of XRP6258 in the treatment of taxane-resistant metastatic breast cancer (MBC). Patients and methods: XRP6258 was administered as a 1-h i.v. infusion every 3 weeks at 20 mg/m<sup>2</sup>
(then, in the absence of severe toxicity, at 25 mg/m<sup>2</sup>
from cycle 2). The primary end point was the objective response rate (ORR) assessed according to response evaluation criteria in solid tumours (RECIST) guidelines. Results: Seventy-one patients were enrolled. The median relative dose intensity was 0.98. The ORR was 14% (two complete, eight partial responses). Eighteen patients (25%) had stable disease of >3 months duration. At a median follow-up of 20.0 months, the median time to progression was 2.7 months, and the median overall survival 12.3 months. The most common grade 3/4 adverse events (AEs) were neutropenia (73%) and leucopenia (55%), with a low febrile neutropenia rate (3%) and infrequent grade 3/4, treatment-related, non-hematological AEs (<5% patients for any AE). Two deaths were reported, one related to study drug and one to unknown cause. Conclusions: XRP6258 was active and well tolerated in this group of MBC patients with taxane-resistant disease. These results support the further clinical development of this agent.</EA>
<CC>002B02R; 002B20E02</CC>
<FD>Etude multicentrique; Homme; Essai clinique phase II; Traitement; Perfusion; Dérivé du taxane; Résistance; Stade avancé; Métastase; Cancer du sein; Chimiothérapie</FD>
<FG>Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Multicenter study; Human; Phase II trial; Treatment; Perfusion; Taxane derivatives; Resistance; Advanced stage; Metastasis; Breast cancer; Chemotherapy</ED>
<EG>Malignant tumor; Cancer; Mammary gland diseases; Breast disease</EG>
<SD>Estudio multicéntrico; Hombre; Ensayo clínico fase II; Tratamiento; Perfusión; Taxane derivado; Resistencia; Estadio avanzado; Metástasis; Cáncer del pecho; Quimioterapia</SD>
<LO>INIST-22429.354000185788650050</LO>
<ID>08-0479465</ID>
</server>
</inist>
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